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Education only — not medical advice

Pharmacotherapy education

Class overviews only — no doses. Confirm candidacy and labels with your clinician.

Medication classes

GLP-1 receptor agonists

liraglutide, semaglutide

Adult obesity themes; WHO 2025 conditional for BMI ≥30 with lifestyle adjunct; equity/access caveats. Not a dosing cookbook.

Dual GIP/GLP-1 agonist

tirzepatide

Broad adult obesity / overweight+comorbidity themes; preferred in several 2025–2026 hierarchies (VA/DoD, ADA, EASO).

GI lipase inhibitor

orlistat

Older, widely listed option; always with diet counselling.

Combination AOMs (region-limited)

phentermine–topiramate; naltrexone–bupropion

Availability varies by country; confirm local label — never self-start.

Melanocortin-4 receptor agonist

setmelanotide

Rare genetic obesity only (NIDDK). Not a general weight-loss drug.

Sources: WHO GLP-1 2025, NIDDK meds, AACE 2025, EASO pharma framework — see Trust Library.

Candidate prep quiz

Answer for yourself, then generate questions for your doctor. This never says you “qualify.”

Contraindication awareness (education)

  • Pregnancy / planning pregnancy — incretin therapies typically excluded; confirm with clinician + label.
  • Personal/family history themes relevant to some incretin labels (e.g. MTC/MEN2) — screening is clinician territory.
  • History of pancreatitis or severe GI disease — discuss before any AOM conversation.
  • Active eating-disorder symptoms — escalate to specialist care; do not self-start weight drugs.

Discuss with your clinician

Off-ramp & maintenance planner

Weight regain after stopping incretin therapies is well documented in trials (e.g. STEP-1 extension). Use this checklist with your prescriber — do not self-taper.

  • Ask: what maintenance plan do we use if we pause or stop?
  • Ask: how will we monitor regain and muscle/protein intake?
  • Ask: what behavioural support continues after the medicine?
  • Do not self-taper or share pens — follow the prescriber and official leaflet.
GLP-1 Journal